PROFRACTIONAL-UPPER ARMS at Blessing Hospital

Quincy, IL

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Pricing by billing methodology

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Payers reporting HCPCS C0403 at Blessing Hospital

Negotiated rates from the hospital’s own file: 7 payers, 16 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$217	$217	—	—	—	$217 – $217
2	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$221	$221	—	—	—	$221 – $221
3	Bcbs Il commercial facility · percent of total billed charges · inpatientfrom % of charges	$221	$221	—	—	—	$221 – $221
4	Bcbs Il commercial facility · percent of total billed charges · outpatientfrom % of charges	$221	$221	—	—	—	$221 – $221
5	Bcbs Mo commercial facility · percent of total billed charges · inpatientfrom % of charges	$258	$258	—	—	—	$258 – $258
6	Bcbs Mo commercial facility · percent of total billed charges · outpatientfrom % of charges	$258	$258	—	—	—	$258 – $258
7	Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges	$258	$258	—	—	—	$258 – $258
8	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$258	$258	—	—	—	$258 – $258
9	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$275	$275	—	—	—	$275 – $275
10	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$275	$275	—	—	—	$275 – $275
11	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$275	$275	—	—	—	$275 – $275
12	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$275	$275	—	—	—	$275 – $275
13	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$275	$275	—	—	—	$275 – $275
14	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$275	$275	—	—	—	$275 – $275
15	Humana commercial professional · percent of total billed charges · bothfrom % of charges	$323	$323	—	—	—	$323 – $323
16	Cigna commercial professional · percent of total billed charges · bothfrom % of charges	$344	$344	—	—	—	$344 – $344

Last updated: Jun 8, 2026

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